This form is kept separate from your application form. It is not referred to during the selection process

Foxes Academy is committed to equality of opportunity in employment and to the selection of the best candidate for the job. The information provided on this page is anonymous and is used for monitoring purposes only. Information gathered will be collated and held on a database under the Data Protection Act 1998. None of the information gathered will be used in the selection process. Please ensure this form is returned to the Personnel Department together with your application form. The Recruitment Monitoring Form will be separated from your application prior to shortlisting.

Job title of post applied for:-Date:-

Full-Time/Part-Time(please delete as appropriate)

Where you saw the advertisement:-

Newspaper  Internet Foxes Website Word of Mouth  Jobcentre  Social Media  Not Specified 

Personal Data:

Gender:FemaleMale 

Age:Under 25 25-34 35-44 45-54 Over 54 

Nationality (Please specify):

Disability:

Foxes Academy welcomes applications from people with disabilities who will be granted an interview if the essential job criteria are met.

The Disability Discrimination Act 1995 defines disability as a ‘physical or mental impairment which has a substantial and long term adverse effect on the ability to carry out normal day-to-day activities’.

Do you consider yourself to be disabled?YesNo

If yes, what is the nature of your disability?

Ethnic Background:

Please circle the appropriate ethnic group number or option 99, if preferred.

11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
98
99 / Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Asian or Asian British – any other Asian background
Black or Black British – African
Black or Black British – Caribbean
Black or Black British – any other Black background
Chinese
Mixed – Asian and White
Mixed – Black African and White
Mixed – Black Caribbean and White
Mixed – any other Mixed background
White – British
White – Irish
White – any other White background
Other
Not known/Not Disclosed

For Official Use Only:- Ref No:- Not Shortlisted  Shortlisted  Appointed 

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